Individual
COURTNEY WIGREN NOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2011 MURPHY AVE STE 400, NASHVILLE, TN 37203-2065
(954) 533-2350
Mailing address
1401 3RD AVE N APT 127, NASHVILLE, TN 37208-3271
(912) 604-7770
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
4886
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4886
TN STATE LICENSE
TN
Enumeration date
11/11/2008
Last updated
04/27/2022
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